Provider Demographics
NPI:1891191722
Name:MAURO, HILLARY (MA)
Entity Type:Individual
Prefix:MRS
First Name:HILLARY
Middle Name:
Last Name:MAURO
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:HILLARY
Other - Middle Name:
Other - Last Name:DEPOWSKI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1441 OLD NORTHERN BLVD
Mailing Address - Street 2:
Mailing Address - City:ROSLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11576-2146
Mailing Address - Country:US
Mailing Address - Phone:516-625-6846
Mailing Address - Fax:
Practice Address - Street 1:1441 OLD NORTHERN BLVD
Practice Address - Street 2:
Practice Address - City:ROSLYN
Practice Address - State:NY
Practice Address - Zip Code:11576-2146
Practice Address - Country:US
Practice Address - Phone:516-625-6846
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-11-04
Last Update Date:2015-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental Disabilities